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Auditory deprivation and the restoration of hearing via a cochlear implant (CI) can induce functional plasticity in auditory cortical areas. How these plastic changes affect the ability to integrate combined auditory (A) and visual (V) information is not yet well understood. In the present study, we used electroencephalography (EEG) to examine whether age, temporary deafness and altered sensory experience with a CI can affect audio-visual (AV) interactions in post-lingually deafened CI users. Young and elderly CI users and age-matched NH listeners performed a speeded response task on basic auditory, visual and audio-visual stimuli. Regarding the behavioral results, a redundant signals effect, that is, faster response times to cross-modal (AV) than to both of the two modality-specific stimuli (A, V), was revealed for all groups of participants. Moreover, in all four groups, we found evidence for audio-visual integration. Regarding event-related responses (ERPs), we observed a more pronounced visual modulation of the cortical auditory response at N1 latency (approximately 100 ms after stimulus onset) in the elderly CI users when compared with young CI users and elderly NH listeners. Thus, elderly CI users showed enhanced audio-visual binding which may be a consequence of compensatory strategies developed due to temporary deafness and/or degraded sensory input after implantation. These results indicate that the combination of aging, sensory deprivation and CI facilitates the coupling between the auditory and the visual modality. We suggest that this enhancement in multisensory interactions could be used to optimize auditory rehabilitation, especially in elderly CI users, by the application of strong audio-visually based rehabilitation strategies after implant switch-on.

Objective Cochlear implants (CIs) can partially restore hearing, but the cortical changes underlying auditory rehabilitation are not well understood. Methods This prospective longitudinal study used electroencephalography (EEG) to examine the temporal dynamics of changes in the auditory cortex contralateral and ipsilateral to the CI. Postlingually deafened CI recipients ( N = 11; mean: 59 years) performed an auditory frequency discrimination task after Results The CI users revealed a remarkable improvement in auditory discrimination ability which was most pronounced over the first eight weeks of CI experience. At the same time, CI users developed N1 auditory event-related potentials (AEP) with significantly enhanced amplitude and decreased latency, both in the auditory cortex contralateral and ipsilateral to the CI. A relationship was found between the duration of deafness and the ipsilateral AEP latency. Conclusions Postlingually deafened adult CI users show rapid adaptation of the bilateral auditory cortex. Cortical plasticity is limited after long duration of auditory deprivation. Significance The finding of rapid and limited cortical changes in adult CI recipients may be of clinical relevance and can help estimate the role of plasticity for therapeutic gain.

Previous studies have suggested that individuals deprived of auditory input can compensate with specific superior abilities in the remaining sensory modalities. To better understand the neural basis of deafness-induced changes, the present study used electroencephalography to examine visual functions and cross-modal reorganization of the auditory cortex in deaf individuals. Congenitally deaf participants and hearing controls were presented with reversing chequerboard stimuli that were systematically modulated in luminance ratio. The two groups of participants showed similar modulation of visual evoked potential (VEP) amplitudes (N85, P110) and latencies (P110) as a function of luminance ratio. Analysis of VEPs revealed faster neural processing in deaf participants compared with hearing controls at early stages of cortical visual processing (N85). Deaf participants also showed higher amplitudes (P110) than hearing participants. In contrast to our expectations, the results from VEP source analysis revealed no clear evidence for cross-modal reorganization in the auditory cortex of deaf participants. However, deaf participants tended to show higher activation in posterior parietal cortex (PPC). Moreover, modulation of PPC responses as a function of luminance was also stronger in deaf than in hearing participants. Taken together, these findings are an indication of more efficient neural processing of visual information in the deaf, which may relate to functional changes, in particular in multisensory parietal cortex, as a consequence of early auditory deprivation.

A number of studies have investigated changes in the perception of visual motion as a result of altered sensory experiences. An animal study has shown that auditory-deprived cats exhibit enhanced performance in a visual movement detection task compared to hearing cats (Lomber, Meredith, & Kral, 2010). In humans, the behavioural evidence regarding the perception of motion is less clear. The present study investigated deaf and hearing adult participants using a movement localization task and a direction of motion task employing coherently-moving and static visual dot patterns. Overall, deaf and hearing participants did not differ in their movement localization performance, although within the deaf group, a left visual field advantage was found. When discriminating the direction of motion, however, deaf participants responded faster and tended to be more accurate when detecting small differences in direction compared with the hearing controls. These results conform to the view that visual abilities are enhanced after auditory deprivation and extend previous findings regarding visual motion processing in deaf individuals.

The case of human deafness constitutes a unique opportunity to examine possible consequences for perceptual processing due to altered sensory experiences. We tested whether deaf--in contrast to hearing--individuals are more susceptible to visual distraction from peripheral than from central face versus object stimuli. The participants were required to classify the gender of a target male or female symbol presented either alone (low perceptual load) or together with three filler symbols (high perceptual load), while ignoring gender-congruent or -incongruent face versus object distractors presented at central or peripheral positions. The gender classifications were affected by distractor gender under low, but not under high, perceptual load in hearing participants. In contrast, the responses of deaf participants were similarly influenced by distractor gender under both levels of perceptual load. There was no evidence for generally enhanced attention to the visual periphery in deaf individuals. Our results indicate that auditory deprivation may result in enhanced attentional capacities under high perceptual load.

SummaryPerceptual aftereffects following adaptation to simple stimulus attributes (e.g., motion, color) have been studied for hundreds of years. A striking recent discovery was that adaptation also elicits contrastive aftereffects in visual perception of complex stimuli and faces [1–6]. Here, we show for the first time that adaptation to nonlinguistic information in voices elicits systematic auditory aftereffects. Prior adaptation to male voices causes a voice to be perceived as more female (and vice versa), and these auditory aftereffects were measurable even minutes after adaptation. By contrast, crossmodal adaptation effects were absent, both when male or female first names and when silently articulating male or female faces were used as adaptors. When sinusoidal tones (with frequencies matched to male and female voice fundamental frequencies) were used as adaptors, no aftereffects on voice perception were observed. This excludes explanations for the voice aftereffect in terms of both pitch adaptation and postperceptual adaptation to gender concepts and suggests that contrastive voice-coding mechanisms may routinely influence voice perception. The role of adaptation in calibrating properties of high-level voice representations indicates that adaptation is not confined to vision but is a ubiquitous mechanism in the perception of nonlinguistic social information from both faces and voices.